Organization · NPI-2

Acacia Mental Health Clinic LLC

Community/Behavioral Health · Milwaukee, WI

NPI number1144460940
StatusActive
Last updated in NPPESMar 6, 2009

Details

NPI
1144460940
Entity type
Organization (NPI-2)
Legal business name
Acacia Mental Health Clinic LLC
Organization subpart
No
Enumeration date
Mar 6, 2009
Last updated
Mar 6, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health1006WIYes

Practice location

6040 W Lisbon Ave
# 204
Milwaukee, WI 53210-2116

Phone 414-871-9111 · Fax 414-871-9121

Mailing address

6040 W. Lisbon Ave.
# 204
Milwaukee, WI 53210

Phone 414-871-9111 · Fax 414-871-9121

Authorized official

Abe Freund
Owner
4148719111

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